| NPI | 1588291827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A20488) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 20488) |
| 207R00000X Internal Medicine (Licence: CA 20488) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-07-24 |